In-School Mentoring Match Support & Program Survey ISM Mentee MM3 & Post-Program Survey Step 1 of 3 33% NameThis field is for validation purposes and should be left unchanged.School Name(Required)BBBSPY Caseworker's Name(Required) Leslie Martins Beverley Manikoth Sophie Mercer School Liaison's Name(Required) First Last School Liaison's Email(Required) Student's Initials(Required)Student's Program(Required) In-School Mentoring In-School Mentoring+ Unsure MATCH MONITORINGSchool Liaisons, thank you for your help completing this important piece of our match support framework. You are welcome to ask the student the questions below and type out their responses yourself, or hand the device directly to the student to complete on their own. Please use your best judgement for whatever best suits the child’s needs. What has been your favourite activity to do with your Mentor? What is your favourite memory of your time together(Required)Did you visit with your Mentor every week? Are you happy with how often you’ve seen your Mentor?(Required)What do you like about having a Mentor?(Required)On a scale of 1-5, how close do you feel to your Mentor?(Required)1 is not close at all and 5 is very closeExtremely closeVery closeCloseSomewhat closeNot close at allHave you and your Mentor planned anything special for your goodbye visit? If yes, what is it?(Required)Finish this sentence: "Having a Mentor makes me feel…"(Required)Is there anything else you would like to share about your experience with your Mentor? Post-PROGRAM SURVEYSchool Liaisons, you may choose to have the student complete this section on their own. Please make sure they were able to submit their final responses. Thank you!I have enjoyed this program(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreeMy Mentor helped me feel more comfortable talking to and connecting with others(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreeMy Mentor helped me feel more confident(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreeMy Mentor gave me more hope for the future(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreeMy Mentor helped me feel happier(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreeMy Mentor helped me learn new ways to handle stress and deal with problems(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreePlease check any areas that have improved since you met your Mentor(Required) My relationships with friends My relationships with family My grades or attention in class My excitement to come to school My interest in joining other programs at school None of the above What is one word that best describes your experience with your Mentor?(Required)Would you recommend this program to a friend or classmate? Share: Facebook Twitter Google+ LinkedIn
